b552k58applicationform (1)
TRANSCRIPT
(Enrolment ID)B552K58
Zone/Scrutiny
Payment DetailsRs. 1500.00
2GE
(D.O.B)
Qualification Details (Exam City 1)
Nishant Kashyap(Full Name of the Applicant)
21 Mar 1994 Male
Indian National
GEN No
B.Tech
Krishna Chandra Jha
Gujarat 395007
SVNIT SURAT
Communication Address
Graduated: No; Year of Graduation: 2016Chemical Engg.
I hereby declare that all the particulars stated in this application form are true to the best of my knowledge andbelief. I have read the Information Brochure and I shall abide by the terms and conditions therein. Theresponsibility of following the GATE 2016 website and meeting various deadlines lies with me. In the event ofsuppression or distortion of any fact in my application form, I understand that I will be denied the opportunityto appear in GATE 2016. Further, if any suppression or distortion of facts is found after appearing in theexam, any admission/degree/benefit acquired on the basis of GATE 2016 score/marks is liable to becancelled.
DigitalFingerprint:
OnlinePayment Ref. No.: IG0ATMKWE3
ROOM NO 151 SWAMI VIVEKANAND BHAWANSVNIT ICHCHHANATH PIPLODSURATSURATGujarat 39500773833 96045 (Mobile No.)
Zonal GATE Office ContactChairperson GATE
Powai, Mumbai 400076
5a3642a93c3157d9562d11d8d43fc035
GATE Exam Details
(Exam City 2)
29/09/2015
SURAT
GATE 2016
(Exam City 3)
(Gender) (Category) (PD Status)
GATE Paper Code
7765872221
CHSurat , GJ
Ahmedabad , GJ
Mumbai , MH
Indian Institute of Technology Bombay
(Parent's Mobile Number) (Name of the Parent)
B552K58
(Chemical Engineering)